{"id":24500,"date":"2020-09-22T06:59:17","date_gmt":"2020-09-22T06:59:17","guid":{"rendered":"https:\/\/www.process.st\/templates\/hipaa-data-backup-plan-checklist\/"},"modified":"2024-02-29T02:55:22","modified_gmt":"2024-02-29T02:55:22","slug":"hipaa-data-backup-plan-checklist","status":"publish","type":"post","link":"https:\/\/www.process.st\/templates\/hipaa-data-backup-plan-checklist\/","title":{"rendered":"HIPAA Data Backup Plan Checklist"},"content":{"rendered":"<section id=\"introduction\">\n<h2>Introduction:<\/h2>\n<div class=\"image-content\">\n<figure> <a href=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/jCD0RtT_5J_As23FW9xOnA.png\" alt=\"Introduction:\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/jCD0RtT_5J_As23FW9xOnA.png\"> <\/a><\/figure>\n<\/div>\n<div class=\"text-content\">\n<p>Backing up data is important for everybody, whether it be personal data or data belonging to an organization. When it comes to <strong>ePHI managed by a healthcare institution<\/strong>, the level of importance could not be higher.<\/p>\n<p>It is also a<strong> mandatory component of HIPAA compliance.<\/strong><\/p>\n<p>In order to meet these requirements, most healthcare organizations choose to <strong>outsource critical IT services to a third party<\/strong> i.e. an MSP. Whether or not you outsource data backup services, <strong>measures must be taken to ensure that you do not lose sensitive patient data<\/strong>, as the consequences can be devastating.<\/p>\n<p><em>\"The data backup plan is a required stage of compliance and must form part of a contingency plan that meets HIPAA standards. Losing data has huge consequences, even-more-so for healthcare organizations who routinely handle sensitive and private data. If access to critical pharmacy systems, lab systems or EHR systems was severed, a healthcare practice would struggle to continue business operations. This risks damaging reputation and ultimately could risk patient lives.\"<\/em> - <a href=\"https:\/\/www.atlantic.net\/about-us\/\" rel=\"nofollow noopener\" target=\"_blank\">Marty Puranik<\/a>,&nbsp;<a href=\"https:\/\/electronichealthreporter.com\/what-is-your-hipaa-data-backup-plan\/\" rel=\"nofollow noopener\" target=\"_blank\">What Is Your HIPAA Data Backup Plan<\/a><\/p>\n<p>This process will help you <strong>establish a solid data backup plan that satisfies HIPAA requirements<\/strong> and clearly shows your patients that you have appropriate safeguards in place to protect their data.<\/p>\n<p>From identifying the databases that contain ePHI, determining which solution will be used, testing the restore process, and formally documenting the backup policy, this checklist will help you <strong>setup the data backup plan end-to-end<\/strong>, hopefully relieving your security team of stress in the process!<\/p>\n<h4>A little info about Process Street<\/h4>\n<p>Process Street is&nbsp;<strong>superpowered checklists<\/strong>. By using our software to document your processes, you are instantly creating an actionable workflow in which tasks can be assigned to team members, automated, and monitored in real-time to ensure they are being executed as intended, each and every time.<\/p>\n<p>The point is to&nbsp;<strong>minimize human error, increase accountability<\/strong>, and&nbsp;<strong>provide employees with all of the tools and information necessary<\/strong>&nbsp;to complete their tasks as effectively as possible.<\/p>\n<\/div>\n<\/section>\n<section id=\"enter-basic-details\">\n<h2>Enter basic details<\/h2>\n<div class=\"text-content\">\n<p>First, enter some <strong>basic details regarding your organization<\/strong> and the <strong>Security Official<\/strong> leading the team tasked with securing and backing up ePHI.&nbsp;<\/p>\n<\/div>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\"> <label> Company Name <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\"> <label> Company Address <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<div class=\"text-field-content form-field-content\">\n<div class=\"form-group\"> <label> Security Official - Name <\/label><br \/>\n<input type=\"text\" placeholder=\"Something will be typed here...\" disabled=\"\" class=\"form-control\"><\/div>\n<\/div>\n<\/section>\n<section id=\"ephi-identification\">\n<h2>ePHI identification:<\/h2>\n<\/section>\n<section id=\"identify-the-databases-containing-ephi\">\n<h2>Identify the databases containing ePHI<\/h2>\n<div class=\"image-content\">\n<figure> <a href=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/s3yyc8Og-2BbmoUkni1Arg.jpg\" alt=\"Identify the databases containing ePHI\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/s3yyc8Og-2BbmoUkni1Arg.jpg\"> <\/a><\/figure>\n<\/div>\n<div class=\"text-content\">\n<p>Identify the various <strong>databases that contain ePHI.&nbsp;<\/strong><\/p>\n<p>List them in the form field now. You can also <strong>attach and\/or link to a document\/resource<\/strong> that contains the list.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\"> <label> Databases that contain ePHI <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<div class=\"file-field-content form-field-content\">\n<div class=\"form-group\"> <label> Databases that contain ePHI (file) <\/label><\/p>\n<div class=\"file-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-upload btn-icon\"><\/i> File will be uploaded here <\/button><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"identify-email-systems-containing-ephi\">\n<h2>Identify email systems containing ePHI<\/h2>\n<div class=\"text-content\">\n<p>Identify the <strong>email systems&nbsp;that contain ePHI.&nbsp;<\/strong><\/p>\n<p>List them in the form field now. You can also <strong>attach and\/or link to a document\/resource<\/strong> that contains the list.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\"> <label> Email systems that contain ePHI <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<div class=\"file-field-content form-field-content\">\n<div class=\"form-group\"> <label> Email systems that contain ePHI (file) <\/label><\/p>\n<div class=\"file-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-upload btn-icon\"><\/i> File will be uploaded here <\/button><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"determine-risk-level-of-each-file\">\n<h2>Determine risk level of each file<\/h2>\n<div class=\"text-content\">\n<p>Once all of the databases and email systems containing ePHI have been identified, its time to <strong>determine the risk level<\/strong> of each file.<\/p>\n<p>The term \u201crisk,\u201d as used in the phrase \u201csecurity risk analysis,\u201d can be defined as a function of two things:<\/p>\n<ul>\n<li>The likelihood of a given&nbsp;<a href=\"https:\/\/compliancy-group.com\/what-is-hipaa-risk-management\/\" rel=\"nofollow noopener\" target=\"_blank\">threat<\/a>&nbsp;triggering or exploiting a specific vulnerability&nbsp;<\/li>\n<li>The resulting impact<\/li>\n<\/ul>\n<p>You can <strong>attach and\/or link to a document\/file<\/strong> containing the risk level of each file.&nbsp;<\/p>\n<p class=\"style-info\">As stated by the <a href=\"https:\/\/compliancy-group.com\/hipaa-security-risk-analysis-step-6-determining-the-level-of-risk-to-ephi\/\" rel=\"nofollow noopener\" target=\"_blank\">Compliancy Group<\/a>, a<strong> risk level matrix<\/strong> can be used to assist in determining and ranking risk levels. The matrix may be populated using a <strong>\u201chigh,\u201d \u201cmedium,\u201d and \u201clow\u201d rating system<\/strong>. For example, a threat likelihood value of \u201chigh\u201d combined with an impact value of \u201clow\u201d may equal a risk level of \u201clow.\u201d Or a threat likelihood value of \u201cmedium\u201d combined with an impact value of \u201cmedium\u201d may equal a risk level of \u201cmedium.\u201d&nbsp;<\/p>\n<\/div>\n<div class=\"file-field-content form-field-content\">\n<div class=\"form-group\"> <label> Risk analysis of ePHI (file) <\/label><\/p>\n<div class=\"file-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-upload btn-icon\"><\/i> File will be uploaded here <\/button><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"approval-all-ephi-identified\">\n<h2>Approval: All ePHI identified<\/h2>\n<div class=\"approval-content\">\n<div class=\"header\">\n<div class=\"list-title\">\n    Will be submitted for approval:<\/div>\n<\/div>\n<div class=\"approval-rule-subject-tasks-list\">\n<ul class=\"list\">\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Identify the databases containing ePHI<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Identify email systems containing ePHI<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Determine risk level of each file<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"data-backup-solution\">\n<h2>Data backup solution:<\/h2>\n<\/section>\n<section id=\"determine-which-solution-will-be-used\">\n<h2>Determine which solution will be used<\/h2>\n<div class=\"text-content\">\n<p>From the list below, <strong>select which solution(s) will be used<\/strong> to back up the data.&nbsp;<\/p>\n<p>If you select \"Other\", describe the solution in the text form field.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\"> <label> Description of data back up solution <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<div class=\"multi-choice-content form-field-content\">\n<div class=\"form-group\"> <label> Data back up solution <\/label> <select disabled=\"\" class=\"form-control\"><option value=\"\">Multiple options can be selected from this list<\/option><\/select><\/div>\n<ul class=\"items\">\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       1<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Disk-based backup technology and replication techniques<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       2<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Tape-based backup and offsite store\/retrieval process<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       3<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Cloud storage and provider solution<\/div>\n<\/li>\n<li class=\"item\">\n<div class=\"step-number-container\">\n<div class=\"step-number\">\n       4<\/div>\n<\/div>\n<div class=\"step-checkbox-container\">\n<div class=\"step-checkbox\"><\/div>\n<\/div>\n<div class=\"item-name-static\">\n      Other<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<\/section>\n<section id=\"approval-data-backup-solution\">\n<h2>Approval: Data backup solution<\/h2>\n<div class=\"approval-content\">\n<div class=\"header\">\n<div class=\"list-title\">\n    Will be submitted for approval:<\/div>\n<\/div>\n<div class=\"approval-rule-subject-tasks-list\">\n<ul class=\"list\">\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Determine which solution will be used<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"location-of-backup-data\">\n<h2>Location of backup data:<\/h2>\n<\/section>\n<section id=\"identify-backup-media-required-to-remain-offsite\">\n<h2>Identify backup media required to remain offsite<\/h2>\n<div class=\"image-content\">\n<figure> <a href=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/kBlFFiVToqxxxwm_yI5OHw.jpg\" alt=\"Identify backup media required to remain offsite\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/kBlFFiVToqxxxwm_yI5OHw.jpg\"> <\/a><\/figure>\n<\/div>\n<div class=\"text-content\">\n<p><strong>Identify and describe<\/strong> the backup media required to remain offsite.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\"> <label> Backup media required to remain offsite <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<div class=\"text-content\">\n<p class=\"style-info\">Storing backup data at an offsite facility (a physical location other than your worksite) allows recovery of backup data if backup data stored locally, onsite, is destroyed or damaged because the premises themselves have been damaged to emergencies such as earthquakes and floods.&nbsp;<\/p>\n<p class=\"style-warning\">A Business Associate Agreement (BAA) must be used if an off-site storage facility or backup service is used to ensure that the Business Associate will safeguard the ePHI in an appropriate manner.<\/p>\n<p>Process Street has built a Business Associate Agreement Checklist to guide you through creating and implementing the agreement.&nbsp;<\/p>\n<\/div>\n<\/section>\n<section id=\"identify-backup-media-required-to-remain-onsite\">\n<h2>Identify backup media required to remain onsite<\/h2>\n<div class=\"text-content\">\n<p><strong>Identify and describe<\/strong> the backup media required to remain onsite.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\"> <label> Backup media required to remain onsite <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<div class=\"text-content\">\n<p class=\"style-warning\">If backup media remains on-site, it must be in a <strong>physically secure location<\/strong>, different from the location of the computer systems it backed up, in order to protect the backups from loss or damage.<\/p>\n<\/div>\n<\/section>\n<section id=\"ensure-safeguards-are-in-place-for-offsite-storage\">\n<h2>Ensure safeguards are in place for off-site storage<\/h2>\n<div class=\"text-content\">\n<p>It is critical to ensure that backup data sent to an off-site storage facility is <strong>secured using technical and physical HIPAA compliant safeguards.<\/strong><\/p>\n<p>Provide a <strong>description of the safeguards <\/strong>that are in place to secure off-site storage and minimize the risk of a data breach.<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\"> <label> Description of safeguards in place for off-site storage <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"approval-safeguards-and-location-of-backup-data\">\n<h2>Approval: Safeguards and location of backup data<\/h2>\n<div class=\"approval-content\">\n<div class=\"header\">\n<div class=\"list-title\">\n    Will be submitted for approval:<\/div>\n<\/div>\n<div class=\"approval-rule-subject-tasks-list\">\n<ul class=\"list\">\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Ensure safeguards are in place for off-site storage<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Identify backup media required to remain onsite<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Identify backup media required to remain offsite<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"testing-the-restore-process\">\n<h2>Testing the restore process:<\/h2>\n<\/section>\n<section id=\"test-data-restoration-with-approved-engineers\">\n<h2>Test data restoration with approved engineers<\/h2>\n<div class=\"text-content\">\n<p>Test data restoration with <strong>approved software engineers.&nbsp;<\/strong><\/p>\n<p>This is an important step to <strong>identify any issues and verify that the safeguards in place are functioning<\/strong> as they should.&nbsp;<\/p>\n<p>Record the <strong>date of testing<\/strong> and <strong>summarize the results<\/strong> in the form field below.&nbsp;<\/p>\n<p>Also, <strong>determine if any issues were identified<\/strong>. If so, these will need to be evaluated and resolved before moving on in the process.&nbsp;<\/p>\n<\/div>\n<div class=\"date-field-content form-field-content\">\n<div class=\"form-group\"> <label> Date of data restoration testing <\/label><\/p>\n<div class=\"date-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-calendar btn-icon\"><\/i> Date will be set here <\/button><\/div>\n<\/div>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\"> <label> Data restoration testing - Summary of results <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<div class=\"select-field-content form-field-content\">\n<div class=\"form-group\"> <label> Were any issues found during testing? <\/label> <select disabled=\"\" class=\"form-control\"><option value=\"An option will be selected here\">An option will be selected here<\/option><\/select><\/div>\n<\/div>\n<\/section>\n<section id=\"describe-the-issues-found-during-testing\">\n<h2>Describe the issues found during testing<\/h2>\n<div class=\"text-content\">\n<p>There were some issues identified during testing. Not to worry, <strong>describe them in the form field below so they can be evaluated and resolved<\/strong> by the team.&nbsp;<\/p>\n<p>If its more convenient, you can<strong> attach and\/or link to a document<\/strong> containing a detailed breakdown of the issues that were identified.&nbsp;<\/p>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\"> <label> Description of issues found during testing <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<div class=\"file-field-content form-field-content\">\n<div class=\"form-group\"> <label> Issues found during testing (file) <\/label><\/p>\n<div class=\"file-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-upload btn-icon\"><\/i> File will be uploaded here <\/button><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"conduct-meeting-to-evaluate-and-resolve-issues\">\n<h2>Conduct meeting to evaluate and resolve issues<\/h2>\n<div class=\"text-content\">\n<p>Conduct a meeting to <strong>evaluate and resolve the issues<\/strong> that were identified during data restoration testing.&nbsp;<\/p>\n<p>Record the <strong>date of the meeting<\/strong>, as well as <strong>key takeaways\/action items<\/strong>.&nbsp;<\/p>\n<p>Below is the description of the issues that was <strong>recorded in the previous task<\/strong>.<\/p>\n<hr>\n<h4>Description of issues<\/h4>\n<p>{{form.Description_of_issues_found_during_testing}}<\/p>\n<\/div>\n<div class=\"date-field-content form-field-content\">\n<div class=\"form-group\"> <label> Date of meeting to resolve issues found during testing <\/label><\/p>\n<div class=\"date-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-calendar btn-icon\"><\/i> Date will be set here <\/button><\/div>\n<\/div>\n<\/div>\n<div class=\"textarea-field-content form-field-content\">\n<div class=\"form-group\"> <label> Key takeaways\/action items <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled=\"\" class=\"form-control\"><\/textarea><\/div>\n<\/div>\n<\/section>\n<section id=\"approval-testing-complete\">\n<h2>Approval: Testing complete<\/h2>\n<div class=\"approval-content\">\n<div class=\"header\">\n<div class=\"list-title\">\n    Will be submitted for approval:<\/div>\n<\/div>\n<div class=\"approval-rule-subject-tasks-list\">\n<ul class=\"list\">\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Conduct meeting to evaluate and resolve issues<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Describe the issues found during testing<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Test data restoration with approved engineers<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"detailed-documentation\">\n<h2>Detailed documentation:<\/h2>\n<\/section>\n<section id=\"document-the-backup-policy\">\n<h2>Document the backup policy<\/h2>\n<div class=\"image-content\">\n<figure> <a href=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/geLAk0uJro5YdH-SxrlCBw.jpg\" alt=\"Document the backup policy\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/www.process.st\/templates\/wp-content\/uploads\/2024\/02\/geLAk0uJro5YdH-SxrlCBw.jpg\"> <\/a><\/figure>\n<\/div>\n<div class=\"text-content\">\n<p>Document the backup policy.&nbsp;<\/p>\n<p>You can <strong>attach and\/or link to the policy below.<\/strong><\/p>\n<\/div>\n<div class=\"file-field-content form-field-content\">\n<div class=\"form-group\"> <label> Data backup policy (file) <\/label><\/p>\n<div class=\"file-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-upload btn-icon\"><\/i> File will be uploaded here <\/button><\/div>\n<\/div>\n<\/div>\n<div class=\"text-content\">\n<p class=\"style-warning\">All documentation required by this policy will be<strong> maintained for a period of 6 years from the date of creation or the date when it was last in effect<\/strong>, whichever is later.&nbsp;<\/p>\n<\/div>\n<\/section>\n<section id=\"document-the-backup-process-and-schedule\">\n<h2>Document the backup process and schedule<\/h2>\n<div class=\"text-content\">\n<p>Document the backup process and schedule.&nbsp;<\/p>\n<p>You can <strong>attach and\/or link to the process and schedule below.<\/strong><\/p>\n<\/div>\n<div class=\"file-field-content form-field-content\">\n<div class=\"form-group\"> <label> Data backup process and schedule (file) <\/label><\/p>\n<div class=\"file-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-upload btn-icon\"><\/i> File will be uploaded here <\/button><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"document-the-restore-process\">\n<h2>Document the restore process<\/h2>\n<div class=\"text-content\">\n<p>Document the data restore process.&nbsp;<\/p>\n<p>You can <strong>attach and\/or link to the data restore process below.<\/strong><\/p>\n<\/div>\n<div class=\"file-field-content form-field-content\">\n<div class=\"form-group\"> <label> Data restore process (file) <\/label><\/p>\n<div class=\"file-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-upload btn-icon\"><\/i> File will be uploaded here <\/button><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"document-the-disaster-recovery-process\">\n<h2>Document the disaster recovery process<\/h2>\n<div class=\"text-content\">\n<p>Document the disaster recovery process.&nbsp;<\/p>\n<p>You can <strong>attach and\/or link to the disaster recovery process below.<\/strong><\/p>\n<\/div>\n<div class=\"file-field-content form-field-content\">\n<div class=\"form-group\"> <label> Disaster recovery process (file) <\/label><\/p>\n<div class=\"file-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-upload btn-icon\"><\/i> File will be uploaded here <\/button><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"document-the-contingency-plan\">\n<h2>Document the contingency plan<\/h2>\n<div class=\"text-content\">\n<p>Document the contingency plan.&nbsp;<\/p>\n<p>You can <strong>attach and\/or link to the contingency plan below.<\/strong><\/p>\n<\/div>\n<div class=\"file-field-content form-field-content\">\n<div class=\"form-group\"> <label> Contingency plan (file) <\/label><\/p>\n<div class=\"file-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-upload btn-icon\"><\/i> File will be uploaded here <\/button><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"approval-data-backup-plan-documentation\">\n<h2>Approval: Data backup plan documentation<\/h2>\n<div class=\"approval-content\">\n<div class=\"header\">\n<div class=\"list-title\">\n    Will be submitted for approval:<\/div>\n<\/div>\n<div class=\"approval-rule-subject-tasks-list\">\n<ul class=\"list\">\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Document the contingency plan<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Document the disaster recovery process<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Document the restore process<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Document the backup process and schedule<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<li>\n<div class=\"approval-rule-subject-tasks-list-item\">\n<div class=\"item\">\n<div class=\"container\"> <span class=\"title\">Document the backup policy<\/span><\/p>\n<div class=\"body\">\n         Will be submitted<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"backup-plan-review\">\n<h2>Backup plan review:<\/h2>\n<\/section>\n<section id=\"determine-date-for-reviewing-data-backup-plan\">\n<h2>Determine date for reviewing data backup plan<\/h2>\n<div class=\"text-content\">\n<p>Determine a<strong> date to review the back up plan.<\/strong><\/p>\n<p class=\"style-warning\">Ideally, the plan would be reviewed <strong>once a month, <\/strong>or at least once every quarter.<\/p>\n<\/div>\n<div class=\"date-field-content form-field-content\">\n<div class=\"form-group\"> <label> Back up plan - Date of next review <\/label><\/p>\n<div class=\"date-container\"> <button type=\"button\" disabled=\"\" class=\"btn btn-default\"> <i class=\"fa fa-calendar btn-icon\"><\/i> Date will be set here <\/button><\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"sources\">\n<h2>Sources:<\/h2>\n<div class=\"text-content\">\n<ul>\n<li><a href=\"https:\/\/compliancy-group.com\/\" rel=\"nofollow noopener\" target=\"_blank\">Compliancy Group<\/a> - <a href=\"https:\/\/compliancy-group.com\/hipaa-data-backup-plan-and-disaster-recovery-plan\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Data Backup Plan and Disaster Recovery Plan<\/a><\/li>\n<li><a href=\"https:\/\/www.hipaagps.com\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA GPS<\/a> - <a href=\"https:\/\/www.hipaagps.com\/resources\/templates\/templates-content\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Security Templates<\/a><\/li>\n<li><a href=\"https:\/\/www.atlantic.net\/about-us\/\" rel=\"nofollow noopener\" target=\"_blank\">Marty Puranik<\/a> - <a href=\"https:\/\/electronichealthreporter.com\/what-is-your-hipaa-data-backup-plan\/\" rel=\"nofollow noopener\" target=\"_blank\">What is Your HIPAA Data Backup Plan?<\/a><\/li>\n<li><a href=\"https:\/\/hipaa-guard.com\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Guard<\/a> - <a href=\"https:\/\/hipaa-guard.com\/hipaa-rules-on-data-back-up-and-disaster-recovery-plan\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Rules on Data Backup and Disaster Recovery Plan<\/a><\/li>\n<li><a href=\"https:\/\/compliancy-group.com\/\" rel=\"nofollow noopener\" target=\"_blank\">Compliancy Group<\/a> - <a href=\"https:\/\/compliancy-group.com\/hipaa-security-risk-analysis-step-6-determining-the-level-of-risk-to-ephi\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Security Risk Analysis Step 6: Determining the Level of Risk to ePHI<\/a><\/li>\n<\/ul>\n<\/div>\n<\/section>\n<section id=\"related-checklists\">\n<h2>Related checklists:<\/h2>\n<div class=\"text-content\">\n<ul>\n<li><a href=\"https:\/\/www.process.st\/templates\/hipaa-compliance-checklist-for-hr\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Compliance Checklist for HR<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hipaa-compliance-checklist-for-hr\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Privacy Risk Assessment Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hipaa-compliance-checklist-for-hr\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Security Breach Reporting Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hipaa-business-associate-agreement-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Business Associate Agreement Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hipaa-compliance-checklist-for-hr\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Omnibus Rule Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hipaa-compliance-checklist-for-hr\/\" rel=\"nofollow noopener\" target=\"_blank\">Patient Intake Checklist for a Medical Clinic<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hipaa-compliance-checklist-for-hr\/\" rel=\"nofollow noopener\" target=\"_blank\">Patient Intake Checklist for a Dental Clinic<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hipaa-compliance-checklist-for-hr\/\" rel=\"nofollow noopener\" target=\"_blank\">Patient Satisfaction Survey Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hospital-housekeeping-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Hospital Housekeeping Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/terminal-room-cleaning-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Terminal Room Cleaning Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hospital-safety-inspection-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Hospital Safety Inspection Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/general-infection-control-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">General Infection Control Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/patient-satisfaction-survey-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Patient Satisfaction Survey Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/home-visit-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Home Visit Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/mental-health-risk-assessment-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">Mental Health Risk Assessment Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/who-surgical-safety-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">WHO Surgical Safety Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/hipaa-compliance-checklist\/\" rel=\"nofollow noopener\" target=\"_blank\">HIPAA Compliance Checklist<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-isolation-area-management\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Isolation Area Management<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-disinfection-procedures-for-covid-19-isolation-ward-area\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Disinfection Procedures for COVID-19 Isolation Ward Area<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-lung-transplantation-pre-transplantation-assessment\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Lung Transplantation Pre-Transplantation Assessment<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-nursing-care-during-treatment-alss\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Nursing Care During Treatment (ALSS)<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-protocol-for-donning-and-removing-ppe\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Protocol for Donning and Removing PPE<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-staff-management-workflow-and-health\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Staff Management (Workflow and Health)<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-daily-management-and-monitoring-of-ecmo-audit\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Daily Management and Monitoring of ECMO Audit<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-digital-support-for-epidemic-prevention-and-control\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Digital Support for Epidemic Prevention and Control<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-discharge-standards-and-follow-up-plan-for-covid-19-patients\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Discharge Standards and Follow-up Plan for COVID-19 Patients<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-disinfection-of-covid-19-related-reusable-medical-devices\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Disinfection of COVID-19 Related Reusable Medical Devices<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-disinfection-procedures-for-infectious-fabrics-of-suspected-or-confirmed-patients\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Disinfection Procedures for Infectious Fabrics of Suspected or Confirmed Patients<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-disposal-procedures-for-covid-19-related-medical-waste\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Disposal Procedures for COVID-19 Related Medical Waste<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-disposal-procedures-for-spills-of-covid-19-patient-blood-fluids\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Disposal Procedures for Spills of COVID-19 Patient Blood\/Fluids<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-procedures-for-handling-bodies-of-deceased-suspected-or-confirmed-patients\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Procedures for Handling Bodies of Deceased Suspected or Confirmed Patients<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-procedures-for-taking-remedial-actions-against-occupational-exposure-to-covid-19\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Procedures for Taking Remedial Actions against Occupational Exposure to COVID-19<\/a><\/li>\n<li><a href=\"https:\/\/www.process.st\/templates\/covid-19-procedure-surgical-operations-for-suspected-or-confirmed-patients\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Surgical Operations for Suspected or Confirmed Patients<\/a><\/li>\n<\/ul>\n<\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Introduction: Backing up data is important for everybody, whether it be personal data or data belonging to an organization. When it comes to ePHI managed by a healthcare institution, the level of importance could not be higher. It is also a mandatory component of HIPAA compliance. In order to meet these requirements, most healthcare organizations [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":24501,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ep_exclude_from_search":false,"cover_icon_emoji":"","cover_icon_url":"","tasks_count":"31","template_description":"Run this checklist to develop, test, and document a HIPAA compliant data backup plan","template_id":"hxbNVzxQCsqf4i0PDO9DKA","task_0":"Introduction:","task_slug_0":"introduction","task_1":"Enter basic details","task_slug_1":"enter-basic-details","task_2":"ePHI identification:","task_slug_2":"ephi-identification","task_3":"Identify the databases containing ePHI","task_slug_3":"identify-the-databases-containing-ephi","task_4":"Identify email systems containing ePHI","task_slug_4":"identify-email-systems-containing-ephi","task_5":"Determine risk level of each 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